AHA PALS CERTIFICATION EVALUATION 2026
FULL QUESTIONS WITH SOLUTIONS
◉ Transient asystole. Answer: A child exhibiting a narrow-complex
tachycardia with adequate perfusion is to receive adenosine. The
provider would be alert for which result after administering this
medication?
◉ Oxygen delivery and oxygen demand. Answer: The emergency
response team is providing care to a preschooler who is
experiencing shock. The primary goal, common to all types of shock,
is to restore a favorable balance between tissue perfusion and
metabolic demand with a focus on what?
◉ Epinephrine Answer: An 8-year-old child being treated in the
emergency department has significant respiratory distress. The
child also exhibits hives, wheezing, angioedema, tachycardia and
dyspnea. The parents state that the child, who is allergic to peanuts,
had eaten some popcorn that had peanuts in it. The team initiates
care, preparing to administer which agent first?
◉ Monomorphic pulseless ventricular tachycardia Answer: A child
in the pediatric intensive care unit displays the following ECG
waveform. The child has no pulse. The resuscitation team interprets
this as which arrhythmia?
, ◉ Compressing the chest about 2 inches
Providing ventilations that last about 1 second each
Giving 2 ventilations to every 15 compressions
Allowing the chest to recoil fully after each compression Answer: A
2-year-old child arrives at the emergency department with the
parents. The child is unresponsive, is not breathing and has no pulse.
Two emergency department providers begin high-quality CPR.
Which action(s) by the providers demonstrates high-quality CPR?
◉ First-degree atrioventricular (AV) block Answer: A 15-year-old
patient is being evaluated during a follow-up visit after being
diagnosed with Lyme disease 2 months ago. A rhythm strip is
obtained as shown below. The provider interprets this rhythm as
indicating which arrhythmia?
◉ Cardiogenic Answer: A 4-year-old patient presents with
tachycardia, tachypnea, cold extremities and weak pulses.
Assessment also reveals an enlarged liver and neck vein distension.
The provider interprets these assessment findings as suggesting
which type of shock?
◉ Supraventricular tachycardia Answer: A child being cared for in
the pediatric telemetry unit suddenly displays the following ECG
waveform. The provider prepares to intervene because the child is
demonstrating which type of arrhythmia?
FULL QUESTIONS WITH SOLUTIONS
◉ Transient asystole. Answer: A child exhibiting a narrow-complex
tachycardia with adequate perfusion is to receive adenosine. The
provider would be alert for which result after administering this
medication?
◉ Oxygen delivery and oxygen demand. Answer: The emergency
response team is providing care to a preschooler who is
experiencing shock. The primary goal, common to all types of shock,
is to restore a favorable balance between tissue perfusion and
metabolic demand with a focus on what?
◉ Epinephrine Answer: An 8-year-old child being treated in the
emergency department has significant respiratory distress. The
child also exhibits hives, wheezing, angioedema, tachycardia and
dyspnea. The parents state that the child, who is allergic to peanuts,
had eaten some popcorn that had peanuts in it. The team initiates
care, preparing to administer which agent first?
◉ Monomorphic pulseless ventricular tachycardia Answer: A child
in the pediatric intensive care unit displays the following ECG
waveform. The child has no pulse. The resuscitation team interprets
this as which arrhythmia?
, ◉ Compressing the chest about 2 inches
Providing ventilations that last about 1 second each
Giving 2 ventilations to every 15 compressions
Allowing the chest to recoil fully after each compression Answer: A
2-year-old child arrives at the emergency department with the
parents. The child is unresponsive, is not breathing and has no pulse.
Two emergency department providers begin high-quality CPR.
Which action(s) by the providers demonstrates high-quality CPR?
◉ First-degree atrioventricular (AV) block Answer: A 15-year-old
patient is being evaluated during a follow-up visit after being
diagnosed with Lyme disease 2 months ago. A rhythm strip is
obtained as shown below. The provider interprets this rhythm as
indicating which arrhythmia?
◉ Cardiogenic Answer: A 4-year-old patient presents with
tachycardia, tachypnea, cold extremities and weak pulses.
Assessment also reveals an enlarged liver and neck vein distension.
The provider interprets these assessment findings as suggesting
which type of shock?
◉ Supraventricular tachycardia Answer: A child being cared for in
the pediatric telemetry unit suddenly displays the following ECG
waveform. The provider prepares to intervene because the child is
demonstrating which type of arrhythmia?
